HomeMy WebLinkAbout57000320197000_Variances_05-25-1972White ~ Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Managetpent Gsrdinances Otter Tail County, Minnesota
Last Name First fiddle
Phone No.Owner:
L Street & No.City State Zip No.
Sols anLegal Description: Lake Nn. ' S70
Sec. 3o^-
Lake Name Lake Class
d rufOdi/33Twp.Range Twp. Name.
S}i/ui<F5(n'h:ij
If applicant is a corporation, what state incorporated in____
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant (p-Agent Oc^r /i/rss. e-
nn List Partner's name and address below:Is Applicant a partnership.
yes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO.
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:"i
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
' Signature of Applicant
^ .19.Application dated.
— DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration________________________________
Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( )
ByFiling acknowledgement Signature
Date, time and place of hearing
, 75____WITH THE FOLLOWINGDEVIATION APPROVED this______
(OR ATTACHED) REOUIREMENTS:
day of_
‘^^sca;;1
I j «>
Signature.
Frank Alstadt, President
Otter Tall Planning Advisory Commission
Deviation
Approved this day of.
Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
Vicroii tUMDCCN 4 CO CUcMTCItt rcoeut «HIM. 168079
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 — Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING PERMIT''AND CERTIFICATE OF OCCUPANCY
White — Office
Yellow — Owner
<»'Pink — Assessor
Golt^nrocJ^ — Inspector
/i Permit No^'ALEGAL
Date.DESCRIPTION
AND
LOCATION
n /•
Lake No.Lake Classif,Sec.Lake Nanae TWP Range TWP Name
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No.
/ rOwner
NameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Building
( ) Alteration
( ) One Family Dwelling
( ) Multiple Dwelling
Specify:,
' A V -5 A Units
I ) Other ( ) Other Size
ESTIMATED COST OF IMPROVEMENT $(omit cents)
PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:DIMENSIONS:
( ) Masonry
( ) Wood Frame
( ) Structural Steel
( ) Other — Specify
(, ) Public
Individual Septic Tank, etc.
WATER SUPPLY:
( ) Public
( ) Individual Well
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
Basement: ( ) Yes ( ) No
Stories above basement:
Sq. feet (outside dimension)
Bedrooms Baths
HEATING:
I ) Electric
( ) Coal
Other:
Type of Roof:( ) No ( ) Gas
( ) None
(/ ) Oil
( ) No
( ) Unit
CHARACTERISTICS:
!Lot Area is square feet.Water frontage is .
feet. (Building Line)
'...............................feet
feet.
Building set back from high water mark is.............
Land height above high water mark at building line is
Building set back from State highway is........................
Side yard is....................
Building will be located
Building will be located
feet — from road or street is feet.
and ....................................feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Dated.
Signature of Owner
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
Dated
Shoreland Management Official
State Surcharge $.Permit Fee $.
Comments:
//
j/> /
cM.t'®iMI
Form No. MKL-0771-002 1S8899
viero* LUHecm a e«.. MiHtcM. fckaua r«.Lf. wnn
*
INSPECTOR'S CHECK LIST
Make all measurements and computations
MINIMUM
Shall Be 4. Sq. Ft.ACTUAL IS I
Sq. Ft.Sq. FtLot Area (Square feet)
Ft.Ft.Water Frontage
Ft.Building Set Back from High Water Mark Ft.
50 Ft.Ft.Building Set Back from State Highway
40 Ft.Ft.Building Set Back from Street or Road
Ft.& &Ft.Side Yard
Ft.Ft.Rear Yard
10 Ft.Ft.Occupied Building to Septic Tank
20 Ft.Ft.Occupied Building to Absorption System
Elevation at Building Line above
High Water Mark_____________3 Ft.Ft.
Inspector's Comments:
Inspector's Signa^re
Title
Inspection
Dated 19
Agency
vicToi umoECN i CO . roiHTiM. riaouo fm.10. hhin.
White — Office
Yellow — Owner
^•!nk — Assessor
Go^denrodi|— Inspector
SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 - Fergus Falls, Mn. 56537
APPLICATION FOR BUILDING RERMITAND CERTIFICATE OF OCCUPANCY
Stf’C.30.Permit No,.LEGAL
DateDESCRIPTION
AND
LOCATION
Stj^r-d ru
TWP Name
GD 33L /33 yy
Lake Classif.Lake No.Lake Name Sec.TWP Range
IDENTIFICATION: Please Print All Information
Last Name First Initial Mailing Address— No. Street, City and State Zip No.Tel. No.
// nr/firtC'C^AOwner
i__k£r\QNameContractor
Architect Name.
TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE:
( ) New Building
(^reiteration
( ) One Family Dwelling
( ) Multiple Dwelling
( Hither
Specify:.
Units
( ) Other Size
VennESTIMATED COST OF IMPROVEMENTS (omit cents)
PRINCIPAL TYPE OF FRAME: TYPE OF SEWAGE DISPOSAL:
( ^.+'Pub^^c
(VKTndividual Septic Tank
WATER SUPPLY:
(|,«Kl^ublic
( ) Individual Well
DIMENSIONS:
(‘■.f^asonry
( ) Wood Frame
(M-Structural Steel
( ) Other — Specify
( ) Yes (O^^Basement:
IStories above basement:
Sq. feet (outside dimension)
Bedrooms
, etc.S2.L..
Baths
MECHANICAL EQUIPMENT :
Elevator: ( ) Yes
Air Conditioning: ( ) Yes
( ) Central
HEATING:
( ) Electric ( ) Gas (^J.-Oil
( ) None
(t>1^oType of Roof:
(L-KfJo ( ) Coal
Other:( ) Unit
CHARACTERISTICS:
.«C.K.S.Lot Area is square feet.Water frontage is,
feet. (Building Line)
.feet
feet.
QQO.Building set back from high water mark is
Land height above high water mark at building line is
Building set back from State highway is
Side yard is
Building will be located
Building will be located
io..±.t/o ±
.Qac..±.
feet — from road or street is feet.
...Z.5T../Q.and feet. Rear yard is
feet from septic tank (Sewage System Permit must be obtained before installation),
feet from soil absorption system (Cesspool, Drainfield, etc.).
feet.
Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set
forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith
shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months.
Signature oi Owner
/ i 7 ZDated./
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit:
express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail
County, Minnesota. This permit may be revoked at any time upon violation of said ordinances.
/V)Iy\/^ //Dated
Shoi^nd Management Official
Permit Fee $.State Surcharge $.
Comments:
__db
umib.
Form No. MKL-0771-002 158899
VICTOB LUMBIIN 4 C».. PBIHTt*!. FC«flUI rULCt.